A+ Kidz Care Learning Center LLC

The director completed CPR training online without the use of a CPR manikin.

Based on information gathered, the director did not ensure the caregiver's job assignment matched their abilities.

At the time of inspection a provisional caregiver was left alone with children which violates conditions on the background.

During the course of an investigation, it was determined that two caregivers feel asleep during naptime leaving children unsupervised.

Documentation for one caregiver's orientation could not be located at the time of the inspection.

The director could not locate her current SIDS/Shaken Baby Training during the inspection.

A shelf that posed a tipping hazard was not secured to the wall. This resulted in the shelf tipping over onto a child, causing an injury to the child.

Two outlet plate covers were broken. A carpet in the school age room was observed stained. Note: This was corrected when the carpet was removed.

An infant was observed in a restrictive device for more than fifteen minutes.

Based on information provided during a DFPS investigation and audio provided, caregivers failed to use good judgement where talking negatively and about personal matters regarding children/families in front of the children.

Based on information gathered during a DFPS investigation and audio provided, caregivers are heard yelling at the children repeatedly throughout the day.

Based on information gathered during a DFPS investigation and audio provided, a caregiver is heard threatening a child to lay down or they would get a "pow pow."

The operation failed to notify the parent of a child who was found alone in the operation's parking lot, placing the child at risk of significant harm. The parent was not notified until late the following day that their child was subject of an investigation regarding possible neglectful supervision.

Operation staff failed to adequately supervise a child in care, resulting in that child pushing their way through a gate and exiting the playground into the parking lot.

The operational policies lacked complete information regarding promotion of indoor and outdoor physical activity.

One personnel file evaluated lacked 2 hours of annual training. Another personnel file evaluated lacked 21 hours of annual training.

The school aged playground's volleyball net was torn and hanging down, posing a risk to children. Note: This was corrected when the net was removed.

One play area had exposed medal wires on the playground. There were two screws protruding out of blue storage building. There was a red tunnel that was no longer screwed to the structure, posing a hazard. The school aged bathroom's toilet paper dispenser was falling off of the wall, exposing a screw. Note: The wires, screws, and tunnel were removed from the play areas.

Two out of ten children's files evaluated lacked documentation of current immunizations.

One out of ten personnel records evaluated lacked documentation of high school diploma or a graduation date.

One out of ten personnel records evaluated lacked documentation of current First Aid and CPR training.

Based on information gathered during a DFPS investigation, the operation failed to notify Child Care Regulation that an infant child had vomited a foreign object with blood.

Based on information gathered during a DFPS investigation, operation staff were unable provide records related to the investigation in a timely manner as they did not have access to them.

Based on information gathered during a DFPS investigation, the operation failed to timely notify a parent that their infant child had vomited a foreign object with blood, which prevented the child from receiving medical attention. There were also scratches to the child's throat.

Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility.

Bees were observed on one of the playgrounds where children were playing.

The director had 1 out of 30 annual training hours on file for 2020-2021. One staff had 13 out of 24 annual hours for 2020-2021. Trainings missing but are not limited to are child maltreatment, and SIDS, Shaken Baby, and Early Brain Development. One staff was missing training in child maltreatment, SIDS, Shaken Baby, and Early Brain Development, communicable diseases, administering medication, food allergies, building and premises safety, hazardous materials including blood borne pathogens, and emergency preparedness.

The emergency preparedness plan did not have information in regards to how staff will evacuate children with limited mobility or who are under 24 months or how staff will continue to care for children until parents arrive.

Inspector observed one staff playing with chalk on the sidewalk while children were playing outdoors.

The director and two staff did not have transportation training on file.

The operation has two buildings and neither building had a carbon monoxide detector.

Inspector observed one staff yanking a child by their arm to sit down. Inspector also heard staff yelling at children more than once during the inspection. The director was present and also heard staff yelling at children. Inspector also observed another staff placed one 3 yr. old child alone in time out for approximately 6-10 minutes.

Six infant bottles were observed not being labeled. NOTE: This was corrected at inspection by the bottles being labeled.

CPSC Safety recall has not been reviewed within the previous year. The last time the children's products certification was reviewed was on 01/12/20.

Child Care Licensing was not notified by the provider within the required time frame to report a child/employee contracting a communicable disease.

Permit holder has not operated in compliance as Child Care Licensing has not been officially notified of the additional positive COVID cases for employees/children by the provider. To date, only one case has been reported to Child Care Licensing.